Related Experiment Video
Updated: May 19, 2026
05:17
Percutaneous Endoscopic Unilateral-Approach Bilateral Decompression for Lumbar Spinal Stenosis
Published on: February 9, 2024
Clinical experience with the Bentall procedure: 28 years
Hyun-Chel Joo1, Byung-Chul Chang, Young-Nam Youn
1Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 120-752, Korea.
Yonsei Medical Journal
|August 8, 2012
Summary
The Bentall procedure offers excellent long-term survival for aortic valve, root, and ascending aorta disease. Careful follow-up is crucial, especially for Marfan syndrome patients, due to potential aortic disease progression.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- The Bentall procedure is a complex operation for extensive aortic disease.
- Composite valved conduits are used to replace the aortic valve, root, and ascending aorta.
- Understanding long-term outcomes is vital for patient management.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of the Bentall procedure.
- To analyze outcomes in patients with aortic valve, root, and ascending aorta disease.
- To identify factors influencing patient survival and reoperation rates.
Main Methods:
- Retrospective analysis of 218 patients undergoing the Bentall procedure between 1982 and 2010.
- Utilized the inclusion technique, open-button technique, or Cabrol technique.
- Kaplan-Meier survival and freedom from reoperation analyses were performed.
Main Results:
- Early mortality was 5.5%.
- Long-term survival rates at 25 years were 60.3%.
- Freedom from reoperation at 25 years was 90.8%; 5/7 reoperations were in Marfan syndrome patients.
Conclusions:
- The Bentall procedure provides optimal survival and functional status.
- Aortic disease progression is a concern, particularly in Marfan syndrome patients.
- Regular computed tomography angiograms are recommended for long-term monitoring.